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Hospital Profile Critical Access Hospitals Voluntary non-profit - Private

UPMC Kane

4372 ROUTE 6, Kane, PA 16735

CMS Overall Rating No CMS Rating
Factual Overview

UPMC Kane is a Critical Access Hospitals (Voluntary non-profit - Private) operating in Kane, PA. Mapped commercial insurance prices across 97 procedures average 3.27x the Medicare baseline. CMS has not published a quality star rating for this facility.

Facility Overview

Setting: N/A Bed Count: N/A Teaching Status: N/A Annual Discharges: N/A

Patient Experience

Recommendation Rate: N/A High Patient Rating: N/A ER Wait Time (Med): 95 min Readmission Rate: N/A

Pricing & Transparency

Procedures Mapped: 97 codes Avg Markup vs Medicare: 3.27x Price File In Index: Yes MRF Version: 3.0.0
Procedure & Code Cash Price Actions
Total hip replacement
CPT Code: 27130
 Contact Desk Calc
Total knee replacement
CPT Code: 27447
 Contact Desk Calc
Bunion correction surgery
CPT Code: 28296
 Contact Desk Calc
Knee arthroscopy with meniscus repair
CPT Code: 29881
 Contact Desk Calc
Heart stent placement (inpatient stay)
MS-DRG Code: 322
 Contact Desk Calc
Blood transfusion
CPT Code: 36430
 $791 Calc
Digestive disorders treatment (inpatient stay)
MS-DRG Code: 392
 Contact Desk Calc
Upper endoscopy with biopsy
CPT Code: 43239
 $1,346 Calc
Spinal fusion, single level (inpatient stay)
MS-DRG Code: 451
 Contact Desk Calc
Colonoscopy (diagnostic)
CPT Code: 45378
 $746 Calc
Colonoscopy with biopsy
CPT Code: 45380
 $1,399 Calc
Hip or knee replacement (inpatient stay)
MS-DRG Code: 470
 Contact Desk Calc
CT scan, head (no contrast)
CPT Code: 70450
 $260 Calc
CT scan, head (with contrast)
CPT Code: 70460
 $551 Calc
CT scan, head (with and without contrast)
CPT Code: 70470
 $681 Calc
CT scan, sinuses
CPT Code: 70486
 $487 Calc
MRI, brain (no contrast)
CPT Code: 70551
 $1,203 Calc
MRI, brain (with and without contrast)
CPT Code: 70553
 $1,605 Calc
X-ray, chest (single view)
CPT Code: 71045
 $163 Calc
X-ray, chest (two views)
CPT Code: 71046
 $213 Calc
CT scan, chest (no contrast)
CPT Code: 71250
 $568 Calc
X-ray, neck (cervical spine)
CPT Code: 72040
 $80 Calc
X-ray, lower back
CPT Code: 72110
 $173 Calc
CT scan, neck (cervical spine)
CPT Code: 72125
 $568 Calc
CT scan, lower back (lumbar spine)
CPT Code: 72131
 $568 Calc
MRI, lower back (no contrast)
CPT Code: 72148
 $1,250 Calc
X-ray, pelvis
CPT Code: 72170
 $84 Calc
CT scan, pelvis
CPT Code: 72192
 $559 Calc
X-ray, shoulder
CPT Code: 73030
 $105 Calc
X-ray, hand
CPT Code: 73130
 $105 Calc
X-ray, hip
CPT Code: 73502
 $190 Calc
X-ray, ankle
CPT Code: 73610
 $128 Calc
X-ray, foot
CPT Code: 73630
 $121 Calc
MRI, knee or other leg joint
CPT Code: 73721
 $2,182 Calc
CT scan, abdomen and pelvis (no contrast)
CPT Code: 74176
 $477 Calc
CT scan, abdomen and pelvis (with contrast)
CPT Code: 74177
 $739 Calc
Ultrasound, thyroid and neck
CPT Code: 76536
 $185 Calc
Ultrasound, abdomen (complete)
CPT Code: 76700
 $478 Calc
Ultrasound, abdomen (limited)
CPT Code: 76705
 $171 Calc
Ultrasound, pelvis
CPT Code: 76856
 $227 Calc
Diagnostic mammogram (both breasts)
CPT Code: 77066
 $239 Calc
Screening mammogram (both breasts)
CPT Code: 77067
 $116 Calc
Blood test, basic metabolic panel
CPT Code: 80048
 $132 Calc
Blood test, comprehensive metabolic panel
CPT Code: 80053
 $170 Calc
Blood test, cholesterol (lipid panel)
CPT Code: 80061
 $95 Calc
Blood test, liver function panel
CPT Code: 80076
 $121 Calc
Urinalysis (automated, with microscopy)
CPT Code: 81001
 $76 Calc
Blood test, amylase
CPT Code: 82150
 $108 Calc
Blood test, vitamin D
CPT Code: 82306
 $160 Calc
Blood test, calcium
CPT Code: 82310
 $28 Calc
Blood test, creatinine (kidney)
CPT Code: 82565
 $46 Calc
Blood test, vitamin B12
CPT Code: 82607
 $79 Calc
Blood test, ferritin (iron stores)
CPT Code: 82728
 $134 Calc
Blood test, glucose (blood sugar)
CPT Code: 82947
 $53 Calc
Blood test, average blood sugar (A1c)
CPT Code: 83036
 $128 Calc
Blood test, lipase
CPT Code: 83690
 $37 Calc
Blood test, magnesium
CPT Code: 83735
 $46 Calc
Blood test, potassium
CPT Code: 84132
 $46 Calc
Blood test, PSA (prostate screen)
CPT Code: 84153
 $70 Calc
Blood test, sodium
CPT Code: 84295
 $56 Calc
Blood test, thyroid (TSH)
CPT Code: 84443
 $104 Calc
Blood test, urea nitrogen (BUN, kidney)
CPT Code: 84520
 $54 Calc
Blood test, hemoglobin
CPT Code: 85018
 $31 Calc
Blood test, complete blood count (CBC)
CPT Code: 85025
 $79 Calc
Blood test, clotting time (PT/INR)
CPT Code: 85610
 $41 Calc
Blood test, clotting time (PTT)
CPT Code: 85730
 $41 Calc
Hepatitis C antibody test
CPT Code: 86803
 $75 Calc
Blood antibody screen
CPT Code: 86850
 $229 Calc
Culture, blood
CPT Code: 87040
 $56 Calc
Culture, bacterial
CPT Code: 87070
 $91 Calc
Sepsis treatment (inpatient stay)
MS-DRG Code: 871
 Contact Desk Calc
Rabies immune globulin
HCPCS Code: 90375
 $2,894 Calc
Typhoid vaccine
HCPCS Code: 90675
 $746 Calc
DTaP vaccine (diphtheria, tetanus, pertussis)
HCPCS Code: 90700
 $76 Calc
MMR vaccine (measles, mumps, rubella)
HCPCS Code: 90707
 $232 Calc
Tdap vaccine (tetanus, diphtheria, pertussis)
HCPCS Code: 90715
 $197 Calc
Varicella (chickenpox) vaccine
HCPCS Code: 90716
 $244 Calc
Pneumococcal vaccine
HCPCS Code: 90732
 $183 Calc
Hepatitis B vaccine
HCPCS Code: 90744
 $141 Calc
Speech therapy (language evaluation)
CPT Code: 92507
 $70 Calc
Electrocardiogram (EKG, tracing only)
CPT Code: 93005
 $102 Calc
Echocardiogram (heart ultrasound)
CPT Code: 93306
 $1,049 Calc
Ultrasound, leg veins (duplex)
CPT Code: 93970
 $793 Calc
Breathing treatment (nebulizer)
CPT Code: 94640
 $144 Calc
Physical therapy (therapeutic exercise)
CPT Code: 97110
 $78 Calc
Physical therapy (neuromuscular re-education)
CPT Code: 97112
 $70 Calc
Physical therapy (gait training)
CPT Code: 97116
 $82 Calc
Physical therapy (manual therapy)
CPT Code: 97140
 $104 Calc
Occupational therapy (therapeutic activities)
CPT Code: 97530
 $78 Calc
Physical therapy (functional capacity test)
CPT Code: 97750
 $70 Calc
Orthotic fitting and training
CPT Code: 97760
 $79 Calc
New patient office visit (30-44 min)
CPT Code: 99203
 $103 Calc
Office visit, established patient (20-29 min)
CPT Code: 99213
 $62 Calc
Office visit, established patient (30-39 min)
CPT Code: 99214
 $103 Calc
Prostate cancer screening (blood test)
HCPCS Code: G0103
 $68 Calc
Electrical stimulation therapy
HCPCS Code: G0283
 $91 Calc
Hospital observation (per hour)
HCPCS Code: G0378
 $32 Calc